Post-Circumcision Hematoma and Wound Healing Concerns Explained

Q: Post-Circumcision Hematoma and Wound Healing Concerns Explained

Hello： 1. I have developed a hematoma above one side of my scrotum after my circumcision surgery. Is this a normal occurrence? If so, how long does it typically take for the swelling to subside? --> About 2 weeks, if it does not turn red. 2. The wound above my

Postoperative scrotal hematoma after circumcision?

Hello Doctor,
1.
After my circumcision surgery, I developed a hematoma above one side of my scrotum.
Is this a normal occurrence? If so, how long does it typically take for the swelling to subside?
2.
The wound above the foreskin came apart during the first week post-surgery, and it reopened during an erection at night.
Although there is no continuous bleeding, a 0.5 cm wide wound has formed.
How long will it take for this to heal? Under what circumstances would I need to have it stitched again? Thank you, Doctor.

Xiao Ren, 20~29 year old female. Ask Date: 2022/02/14

Dr. Du Shixi reply Urology

Hello:
1.
I have developed a hematoma above one side of my scrotum after my circumcision surgery.
Is this a normal occurrence? If so, how long does it typically take for the swelling to subside? --> About 2 weeks, if it does not turn red.
2.
The wound above my foreskin came apart during the first week post-surgery, and it opened up during nocturnal erections.
Although there is no continuous bleeding, a 0.5 cm wide wound has formed.
How long will it take to heal? What degree of opening would require re-stitching? --> About 2 weeks (care for the wound).
If the wound is more than 1 cm wide and remains open, it may need to be stitched.
Please discuss with your doctor.
Wishing you good health.

Reply Date: 2022/02/14

More Info

Post-circumcision hematoma and wound healing concerns are common issues that can arise after the procedure. Let's address your questions one by one.

1. Hematoma Formation: It is not uncommon to experience a hematoma after circumcision, especially if there was significant manipulation of the tissues during the procedure. A hematoma is essentially a localized collection of blood outside of blood vessels, which can occur due to bleeding from small vessels that were disrupted during surgery. The presence of a hematoma can cause swelling and discomfort. In most cases, a small hematoma will resolve on its own within a week or two as the body reabsorbs the blood. However, if the hematoma is large or continues to grow, it may require medical evaluation. Signs that you should seek medical attention include increasing pain, significant swelling, or changes in skin color over the area.

2. Wound Healing: The healing process for the circumcision site can vary from person to person. It is not unusual for the stitches to dissolve or fall out within the first week, especially if they are absorbable sutures. If the wound has opened up to a width of 0.5 cm, it may still heal on its own, but it is essential to keep the area clean and dry to prevent infection. Typically, small wounds can take anywhere from 1 to 3 weeks to heal, depending on various factors such as blood supply, individual healing capacity, and whether there is any infection.
If the wound appears to be gaping or if you notice any signs of infection (such as increased redness, warmth, swelling, or discharge), you should consult your healthcare provider. They may recommend re-suturing the wound if it does not seem to be healing properly or if there is a risk of complications.

Additional Considerations:
- Pain Management: Post-operative pain is common, and over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Always follow your doctor's recommendations regarding medication.

- Hygiene: Keeping the area clean is crucial. You may be advised to gently clean the area with mild soap and water, avoiding any harsh chemicals or scrubbing that could irritate the wound.

- Activity Restrictions: It is generally recommended to avoid strenuous activities, including heavy lifting or vigorous exercise, until the area has healed adequately. This will help prevent additional strain on the surgical site and reduce the risk of complications.

- Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor the healing process. If you have any concerns about your recovery, do not hesitate to reach out to your doctor.

In summary, while some swelling and hematoma formation can be normal after circumcision, it is essential to monitor the situation closely. If you notice any concerning symptoms or if the wound does not seem to be healing properly, seek medical advice promptly. Your healthcare provider can provide specific guidance tailored to your situation and ensure that you recover smoothly.

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